Variation in the depth of excision of melanoma: A survey of US physicians

Archives of Dermatology
Jennifer L DeFazioAllan Halpern

Abstract

To assess current practices and recommendations of US physicians regarding depth of excision for melanomas of varying histologic thicknesses. A 2-page, 13-question survey of depth of excision practices for the treatment of melanoma was developed and distributed. Both private and academic settings. A total of 1184 US physicians (1000 dermatologists and 184 melanoma specialists) were sent the survey. The 184 melanoma specialists included dermatologists, oncologists, and surgeons working in pigmented lesion clinics. Depth of excision practices reported for melanomas of varying histologic thicknesses and comparison of treating physician groups. Results were tabulated, and descriptive frequencies were used to describe demographics and survey responses. The final study analysis included 498 completed surveys. The overall response rate was 45% (498 of 1097 [1184 total respondents - 87 ineligibles]). The response rate for the specialists was 63% (115 of 183 [184 total respondents - 1 ineligible]), and for nonspecialist dermatologists it was 43% (383 of 892 [1000 total respondents - 108 ineligibles]). Specialists were more likely to practice in an urban setting than were nonspecialist dermatologists (78% vs 46%) (P < .001). Fifty-eight ...Continue Reading

Citations

Jun 2, 2014·Hematology/oncology Clinics of North America·Vernon K Sondak, Geoffrey T Gibney
Nov 29, 2011·Dermatologic Clinics·Jonathan M OlsonMaryam M Asgari
Jun 2, 2011·Mayo Clinic Proceedings·Travis E GrotzUNKNOWN Mayo Clinic
Apr 29, 2015·The British Journal of Dermatology·S M Seyed JafariM Shafighi
Nov 14, 2014·The British Journal of Dermatology·R E HungerM Shafighi

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